Stacey Ann Vanderwel, RD, CSP, LDN Valid NPI
Individual provider · Pediatric Nutrition Registered Dietitian · Charlotte, NC
- NPI
- 1629231683
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1004X
- License number
- L002810 (NC)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-07-09
- Last updated
- 2008-07-09
Practice location
505 East Blvd, Suite 200
Charlotte, NC 28203-5105
(704) 542-2512